complaint·September 1, 2022

Regarding Allegation #1 : this investigation revealed that the two (2) facility administrators stated that resident council meetings are usually attended by a staff member in order to take notes and pass the concerns along to management. They stated that residents are allowed to meet (without staff) and staff can leave the meeting if asked to do so. Based on interviews conducted with Resident Council Board Members, the majority corroborated that there is not a concern with a facility staff member being present during the meeting; however, it's usually not the case that facility staff member remains for the whole resident council meeting. Due to COVID-19, the formal resident council meetings were not taken place in person; however, they have now resumed to in-person meetings. Resident council meetings require facility staff, but informal meetings take place among residents without facility staff present. Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF CARE: Resident sustained multiple pressure injuries while in care is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report provided to Administrator Administrator (Peter Baba ian) and Asst. Administrator (Alise Nazarian).